Colorado Vital Records Customer Satisfaction Survey

1. Select the most recent service you received from the Vital Records Section:

Select the most recent service you received from the Vital Records Section:

2. If you selected "Other" above, please specify:

If you selected "Other" above, please specify:

Select which option best describes our level of service for each of the items listed below:

3. Courtesy and helpfulness of staff

Excellent	Good	Average	Needs Improvement	Does not apply or don't remember
*Courtesy and helpfulness of staff Excellent	Good	Average	Needs Improvement	Does not apply or don't remember

4. Timeliness of service

Excellent	Good	Average	Needs Improvement	Does not apply or don't remember
*Timeliness of service Excellent	Good	Average	Needs Improvement	Does not apply or don't remember

5. Convenience of service

Excellent	Good	Average	Needs Improvement	Does not apply or don't remember
*Convenience of service Excellent	Good	Average	Needs Improvement	Does not apply or don't remember

6. Phone service

Excellent	Good	Average	Needs Improvement	Does not apply or don't remember
*Phone service Excellent	Good	Average	Needs Improvement	Does not apply or don't remember

7. Courtesy of person on phone

Excellent	Good	Average	Needs Improvement	Does not apply or don't remember
*Courtesy of person on phone Excellent	Good	Average	Needs Improvement	Does not apply or don't remember

8. Promptness of returning phone calls

Excellent	Good	Average	Needs Improvement	Does not apply or don't remember
*Promptness of returning phone calls Excellent	Good	Average	Needs Improvement	Does not apply or don't remember

9. Commitment to protecting your personal information

Excellent	Good	Average	Needs Improvement	Does not apply or don't remember
*Commitment to protecting your personal information Excellent	Good	Average	Needs Improvement	Does not apply or don't remember

10. Overall quality of service

Excellent	Good	Average	Needs Improvement	Does not apply or don't remember
*Overall quality of service Excellent	Good	Average	Needs Improvement	Does not apply or don't remember

11. Colorado Web site - ease of use

Excellent	Good	Average	Needs Improvement	Does not apply or don't remember
*Colorado Web site - ease of use Excellent	Good	Average	Needs Improvement	Does not apply or don't remember

12. VitalChek Web site - ease of use

Excellent	Good	Average	Needs Improvement	Does not apply or don't remember
*VitalChek Web site - ease of use Excellent	Good	Average	Needs Improvement	Does not apply or don't remember

13. Other comments or suggestions:

Other comments or suggestions:

14. Would you like to be contacted?

Would you like to be contacted? Yes

15. If you answered "yes" above, please provide the following:

If you answered "yes" above, please provide the following: First name
Last name
e-mail address
Phone number

Thank you for helping us to give you the best service possible by sharing your feedback!

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